Active NPI
Debra Shewey, LPC
- Professional Counselor
- Payson, AZ
National Provider Identifier
1174019376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC17263
- Practice address
- 803 W Main St
Payson, AZ 85541-4993 - Phone
- (928) 284-8483
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC17263 | AZ | |
| Mental Health Counselor | 101YM0800X | LPC17263 | AZ | |
| Professional Counselor | 101YP2500X | LPC17263 | AZ | Primary |
Addresses
Primary practice location
803 W Main St
Payson, AZ 85541-4993
Mailing address
310 N Stagecoach Pass
Payson, AZ 85541-4287
Phone (928) 970-0462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC17263 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Behavioral Health Services, Inc | Past | Accepting new patients |
Interoperability endpoints
- debra.sheweylpcbhp.p1@direct.cbridges.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flagstaff, AZ
- NPI 1316170368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1174019376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N STAGECOACH PASS",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855414287",
"telephone_number": "928-970-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 W MAIN ST",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855414993",
"telephone_number": "928-284-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEWEY",
"first_name": "DEBRA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LPC17263",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC17263",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC17263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.